Jenna Nicole Ward Lane, ARNP
Nurse Practitioner, Primary Care in Seattle, WA. Individual provider (NPI-1).
NPI number1316102403
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1316102403
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jenna Nicole Ward Lane
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2008
- Last updated
- Oct 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | R175704 | MD | Yes |
Practice location
4800 Sand Point Way NeSeattle, WA 98105-3901
Phone 202-641-4272
Mailing address
1900 9th AveSeattle, WA 98101-1309
Phone 202-641-4272
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